Individual provider Active NPI

Tonette Godard, M.S.,BSMT,MLT(ASCP)

  • Medical Technologist
  • Greenville, NC
National Provider Identifier
1255073391
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
Practice address
2470 Emerald PL Ste C
Greenville, NC 27834-5786
Phone
(252) 364-8681
Fax
(252) 364-8682
NPI assigned
Apr 9, 2022
Last updated
Apr 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X NC Primary

Addresses

Primary practice location

2470 Emerald PL Ste C
Greenville, NC 27834-5786

Mailing address

2470 Emerald PL Ste C
Greenville, NC 27834-5786
Phone (252) 364-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Laboratory Associates CurrentSince Apr 17, 2022 Accepting new patients

Locations

2470 Emerald Pl
Ste C
Greenville, NC 27834
Phone (252) 364-8681

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1255073391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 EMERALD PL STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345786",
            "telephone_number": "252-364-8681",
            "fax_number": "252-364-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 EMERALD PL STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345786",
            "telephone_number": "252-364-8681",
            "fax_number": "252-364-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODARD",
        "first_name": "TONETTE",
        "credential": "M.S.,BSMT,MLT(ASCP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.